By American College of Chest Physicians

ISBN-10: 0916609979

ISBN-13: 9780916609979

ACCP severe Care medication Board evaluate: twenty first Edition
DOI: 10.5555/978-0-916609-76-4

index

Chapter 1. Endocrine Emergencies unfastened TO VIEW
Chapter 2. Postoperative Crises
Chapter three. Mechanical Ventilation
Chapter four. Hypertensive Emergencies and Urgencies
Chapter five. being pregnant and demanding Illness
Chapter 6. Venous Thromboembolic Disease
Chapter 7. Acute Coronary Syndromes
Chapter eight. middle Failure and Cardiac Pulmonary Edema
Chapter nine. Acute and protracted Liver Failure within the ICU
Chapter 10. Hemodynamic Monitoring
Chapter eleven. Tachycardia and Bradycardia within the ICU
Chapter 12. Infections in AIDS sufferers and different Immunocompromised Hosts
Chapter thirteen. Liberation From Mechanical Ventilation
Chapter 14. Trauma and Burns
Chapter 15. Airway administration, Sedation, and Paralytic Agents
Chapter sixteen. Acute Lung Injury/Acute respiration misery Syndrome
Chapter 17. Coma and Delirium
Chapter 18. the intense stomach, Pancreatitis, and the belly Compartment Syndrome
Chapter 19. Hypothermia/Hyperthermia and Rhabdomyolysis
Chapter 20. Ventilatory Crises
Chapter 21. Poisonings and Overdoses
Chapter 22. Anemia and RBC Transfusion within the ICU
Chapter 23. Shock
Chapter 24. Coagulopathies, Bleeding issues, and Blood part Therapy
Chapter 25. Gastrointestinal Bleeding within the ICU
Chapter 26. Nutrition
Chapter 27. Resuscitation: Cooling, medicines, and Fluids
Chapter 28. moral matters in extensive Care Medicine
Chapter 29. examining scientific learn and figuring out Diagnostic checks in severe Care Medicine
Chapter 30. Imaging
Chapter 31. method of Acid-Base Disorders
Chapter 32. serious Pneumonia
Chapter 33. ICU guidance, top Practices, and Standardization
Chapter 34. prestige Epilepticus, Stroke, and elevated Intracranial Pressure
Chapter 35. Derangements of Serum Potassium, Sodium, Calcium, Phosphate, and Magnesium
Chapter 36. Antibiotic remedy in severe Illness
Chapter 37. Transplant-Related Issues
Chapter 38. Acute Kidney harm within the ICU
Chapter 39. frightened approach Infections and Catheter Infections

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Additional info for ACCP Critical Care Medicine Board Review: 21st Edition 2012

Example text

As with many dual-control modes, the physician delegates decision-making to the ventilator. Complex adjustments and their potentially detrimental effects on the patient may come into play at any time of day or night, depending on changes in mechanical properties of the respiratory system or changes in the patient’s level of consciousness, comfort, or neuromuscular competence. Choosing Mode and Settings If full rest of the respiratory muscles is desired, it is incumbent on the physician to ensure that this is indeed achieved (although see ventilator-induced diaphragm dysfunction below).

The issues that need to be addressed to guide optimal therapy are the BP goal, the timing of attainment, mode of administration, and type of antihypertensive. For hypertensive urgencies, the clinician should aim for a progressive lowering of the BP over 1 to 2 days. In some cases, an even longer time period may be appropriate. In the absence of end-organ damage, a rapid decrease in BP may cause more harm than good. Oral medications should be used, and the clinician should restart the patient’s regular medications.

There is some experimental evidence that the injured lung may be more resistant to oxygen-induced injury. 6 to less than 24 h, using PEEP, diuresis, positional maneuvers, or inhaled vasodilators. 3,4 Yet PEEP may provoke deleterious effects so that choosing the appropriate level requires balancing benefits and costs. 1 Three clinical trials addressed the potential role of higher levels of PEEP than required for acceptable oxygenation. 8,9 In patients with acute lung injury (ALI) and ARDS, lung units collapse largely because of compressive forces, especially in dependent lung zones.

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ACCP Critical Care Medicine Board Review: 21st Edition 2012 by American College of Chest Physicians


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